Jan's column: following up on follow-ups

by Jan Scholten

There have been a few comments on my
article on Neodymium sulphuricum about the lack of follow-ups on the cases. The
follow-ups were left out on purpose.
Case presentations are essential in homeopathy; the individuality as a
principle is very important. Case presentations, however, can have several
purposes and the style of presentation depends on the purpose.

Case taking
One purpose for presenting a case is to show the method of case taking. Here, a
full presentation of the case is paramount, so the reader can see how the case
taking is done, and a complete write-up is appropriate. A follow-up, though, is
not needed as such, unless the follow-up is also used as an illustration for
the case taking of follow-ups.

Proof
Another purpose for presenting cases is to prove that homeopathy works. Here,
the description of the case does not have to be very lengthy, it can even be
quite short, but the follow-up is essential. If the author also wants to show
the laws of Ekdiokie (Ekdiokie is a Greek word for ‘throwing things out’),
mostly called the Laws or rules of Hering, then a very detailed account of what
happened after the remedy is very important.

Materia Medica
Another purpose for writing cases is to illustrate the remedy pictures, which
is the most frequent situation. Writing down the case is essential here, and
the text can be more or less extensive. Follow-ups as such, however, are not
necessary for such presentations as they do not add to the remedy picture - it
is only necessary to know that the patient did well, but that is quite obvious,
otherwise the case would not be presented!

Full cases
One can write down every symptom, or limit oneself to the essential aspects of
the case. In homeopathy, there is a tendency to feel obliged to give a full
report of the case but, in fact, full reports do not exist. There is always
more to find and describe, so every case presentation is already a selection.

The Neodymium sulphuricum article
This article had as an obvious purpose the presentation of the remedy picture.
Here, follow-ups were left out because they did not give more information. In
general, follow-ups would have been: “The energy went up, the patient felt
better emotionally and solved some problems in their life. The complaints went significantly
down or disappeared completely.” It would not have given any information about
the remedy as such.

Comment
It feels as if the commentators want to have proof that the case did well. For
me it was obvious they did, otherwise I would not have presented them. Written
follow-ups are after all no proof, either. The proof of the article can only come from
one's own practice, one's own experience.
In principle, cases can be invented, follow-ups can be invented. My experience
is that no matter what kind of proof one gives, those who do not want to
believe what is written will not believe it anyway. Those who are open, will be
open to test the information for themselves, to see what works and what does not
work. My attempts to convince people have mostly been useless, naïve, and
humbling. In that sense, the situation within the homeopathic community is not
very different from the way homeopathy is treated by conventional medicine.
I heard from a colleague homeopath that many homeopaths did not believe in
homeopathy. That was quite a shock to me. It must mean that they do not see any
results in their practice. In such cases, no proof will ever be enough.

It might be or might not be a coincidence that the article is about Neodymium,
a Stage 6 remedy. Stage 6 is about proving, proving oneself or what one stands
for. Maybe this article shows that I still want to prove myself - or that I want
to prove that I do not want to prove myself!

You may even argue whether (lanthanid) patients themselves want proof first before they can heal themselves. As lanthanides seek for autonomy they will recognize the healing benefits from homepathy as a system that brings health from within. But before they can be healed, they must have been through the 6 stages and adopt homeopathy into their system. Only after that point, a well choosen remedy will bring the cure the patient is after.

Posts: 2

Re:Reply #1 on : Thu September 29, 2011, 07:20:26

I find this so humorous, it makes me laugh heartily for quite a while, even again after reading my comment. Indeed the comments were provocative (stage 6) and provoked an apt and illuminating (lanthanid) answer - I love the answer and especially your reflection on the process of how it came about (lanthanid). A neodym situation and a neodym answer. Perhaps neodym carb? A strict father is provoked and gives a wonderful retaliation - a gem which otherwise would have been hidden (stage 6). Interhomeopathy is great! Long live such discussions!